|
A federal judge recently issued a ruling
regarding an insurance company’s policies covering
damage from flood waters or storm surge. This is the first
ruling in a series of lawsuits regarding the actual cause of
damages and whether they are covered in their respected
policies.
Following is a report on the ruling.
Judge: Insurance policy excluded flood
damage Ruling could set a precedent for
hundreds of other court challenges
A federal judge ruled Tuesday that an insurance
company’s policies do not cover damage from flood waters or
storm surge in a decision that could affect hundreds of upcoming
cases related to property damage from Hurricane Katrina.
U.S. District Judge L.T. Senter Jr. ruled that a Mississippi
Gulf Coast couple cannot collect damages from storm surge caused by
Katrina because Nationwide Mutual Insurance Co.’s policies do
not cover wind-driven water damage.
Senter Jr. said Paul and Julie Leonard of Pascagoula could be
compensated for damage that they could prove was caused by high
winds, however.
“Almost all the damage to the Leonard residence is
attributable to the incursion of water,” Senter wrote in the
13-page decision.
Senter’s ruling could set a precedent for hundreds of
other court challenges to the insurance industry for denying
billions of dollars in claims after the Aug. 29 hurricane ravaged
the coasts of Louisiana and Mississippi.
Although Senter ruled that Nationwide’s policies do not
cover damage from storm surge, the judge also concluded a key
policy provision the company has used to deny coverage is
ambiguous.
Nationwide and other insurers say their homeowners policies
cover damage from a hurricane’s wind, but not in cases where
it resulted from a combination of wind and water.
“This reading of the policy would mean that an insured
whose dwelling lost its roof in high winds and at the same time
suffered an incursion of even an inch of water could recover
nothing under his Nationwide policy,” he wrote.
“From our perspective, it lifts a very large cloud of
uncertainty that has been hanging over the insurance market of the
Gulf Coast,” Joseph Annotti, spokesman for the Property
Casualty Insurers Association of America, said in reaction to the
ruling. “A healthy insurance market is absolutely key to a
rejuvenated economy down there.”
Shares of most property and casualty insurers rose following
the ruling, amid a generally surging stock market.
“It’s a favorable first decision for the
industry,” said Fox-Pitt Kelton analyst Gary Ransom. “I
never really had much doubt that this was the way it was going to
work out. There’s a lot of precedent for this. It’s not
like we’re interpreting these contracts for the first
time.”
The Leonards had estimated the total damage to their home at
$130,253. They said $47,365 in damage was caused by wind.
Nationwide paid only $1,661, blaming the remainder on the storm
surge.
The couple’s attorneys had asked for more than $158,000
for the damage to the house and its contents, plus interest and
attorneys’ fees and expenses. Senter, however, ruled that
Nationwide only owed the Leonards about $1,228 more than what the
company already has paid them for wind damage.
Both sides claimed victory in the wake of Senter’s
ruling.
“The Leonards did not win as much money as I hoped they
would have, but they won this case,” said one of their
attorneys, Richard “Dickie” Scruggs. “It’s
always great to get a win in the first game of the season, whether
it’s by one point or 30 points.”
Paul Leonard, a police lieutenant, acknowledged that an extra
$1,228 only covers a fraction of the repair costs for his home, but
he also considered Senter’s ruling a victory.
“I believe anybody in a civil trial asks for the moon
and is able to live with what they get,” he said.
The Leonards claimed a Nationwide agent, Jay Fletcher, told
them they didn’t need flood insurance.
Senter rejected the Leonards’ claim that the
agent’s alleged assurances make Nationwide liable for damage
from both wind and water. Paul Leonard mistakenly inferred that his
policy covered water damage, the judge ruled.
“Fletcher did not materially misrepresent the terms of
the Nationwide homeowners policy to the Leonards, and Fletcher did
not make any statements which could be reasonably understood to
alter the terms of the Nationwide policy,” Senter
wrote.
The couple’s lawsuit was the first among hundreds of
Katrina insurance cases to be tried since the storm slammed into
the Gulf Coast nearly a year ago, demolishing tens of thousands of
homes.
Senter presided over an eight-day trial without a jury last
month. He is hearing virtually all the Katrina insurance cases in
Mississippi, so his ruling will be scrutinized by thousands of Gulf
Coast homeowners as well as the nation’s top
insurers.
To view the online article, please
click on the following link.
Judge: Insurance policy excluded flood
damage
|